JONATHAN ERIC WAGNER

SAINT PAUL, MN
NPI1063006724
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MN  4525)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: MN  02291)
Enumeration Date2021-02-23
Last Update Date2025-05-01
Business Address
JONATHAN ERIC WAGNER LPCC
2270 FORD PKWY STE 106
SAINT PAUL, MN 55116-3412
Phone number: 612-915-0049
Mailing Address
JONATHAN ERIC WAGNER LPCC
2270 FORD PKWY STE 106
SAINT PAUL, MN 55116-3412
Phone number: 612-915-0049